go back

Utah rates for HCPCS A4649

Surgical Supply; Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.43 / $144.43 / $144.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $289.60 / $310.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $45.00